Validation of the Wexner scale in women with fecal incontinence in a Turkish population

Çam, Çetin; Selçuk, Selçuk; Asoğlu, Mehmet Reşit; Tuğ, Niyazi; Akdemir, Yeşim; Ay, Pınar; Karateke, Ateş

doi:10.1007/s00192-011-1464-6

Cited by 16 publications

(15 citation statements)

References 10 publications

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“…The Wexner Fecal Incontinence Scoring Scale [ 16 ] has become a widely used for the assessment of severity of fecal incontinence and has been validated to Turkish population, previously [ 17 ]. This scale included five questions that were three about anal incontinence (gas, liquid, and solid), a coping mechanism (pad wear), and a lifestyle question (alteration).…”

Section: Methodsmentioning

confidence: 99%

Long-term effects of neoadjuvant chemoradiotherapy followed by sphincter-preserving resection on anal sphincter function in relation to quality of life among locally advanced rectal cancer patients: a cross-sectional analysis

et al. 2015

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BackgroundThere is growing recognition for the consequences of rectal cancer treatment to maintain an adequate functional sphincter in the long-term rather than preserving the anal sphincter itself. This study aims to evaluate long-term effects of neoadjuvant chemoradiotherapy (nCRT) followed by sphincter-preserving resection on anal sphincter function in relation to quality of life (QoL) among locally advanced rectal cancer patients.MethodsTwenty-nine patients treated with nCRT followed by low anterior resection surgery were included in this study. Data on patient demographics, tumor location and symptoms of urgency and fecal soiling were recorded and evaluated with respect to Wexner Fecal Incontinence Scoring Scale, European Organization for Research and Cancer (EORTC) cancer-specific (EORTC QLQ-C30) and colorectal cancer-specific (EORTC QLQ-CR38) questionnaires and anorectal manometrical findings. Correlation of manometrical findings with Wexner Scale, EORTC QLQ-CR38 scores and EORTC QLQ-C30 scores was also evaluated.ResultsMedian follow-up was 45.6 months (ranged 7.5–98 months. Higher scores for incontinence for gas (p = 0.001), liquid (p = 0.048) and solid (p = 0.019) stool, need to wear pad (p = 0.001) and alteration in life style (p = 0.004) in Wexner scale, while lower scores for future perspective (p = 0.010) and higher scores for defecation problems (p = 0.001) in EORTC QLQ-CR38 were noted in patients with than without urgency. Manometrical findings of resting pressure (mmHg) was positively correlated with body image (r = 0.435, p = 0.030) and sexual functioning (r = 0.479, p = 0.011) items of functional scale, while rectal sensory threshold (RST) volume (mL) was positively correlated with defecation problems (r = 0.424, p = 0.031) items of symptom scale in EORTC QLQ-CR38 and negatively correlated with social function domain (r = −0.479, p = 0.024) in EORTC QLQ-C30. RST volume was also positively correlated with Wexner scores including incontinence for liquid stool (r = 0.459, p = 0.024), need to wear pad (r = 0.466, p = 0.022) and alteration in lifestyle (r = 0.425, p = 0.038).ConclusionThe high risk of developing functional anal impairment as well as the systematic registration of not only oncological but also functional and QoL related outcomes seem important in rectal cancer patients in the long-term disease follow-up.

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Section: Methodsmentioning

confidence: 99%

Long-term effects of neoadjuvant chemoradiotherapy followed by sphincter-preserving resection on anal sphincter function in relation to quality of life among locally advanced rectal cancer patients: a cross-sectional analysis

et al. 2015

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“…3 The FISI was suggested to increase the understanding of patient values; but it was also advised to be replicated in other populations. 1 In a Turkish population, the Wexner score 5 was validated 8 and used in clinical trials, 9 but a weighted instrument for AI does not exist.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Fecal Incontinence Severity Index in a Turkish Population

Küçükbaş¹,

Selçuk²,

Asoğlu³

et al. 2016

Female Pelvic Med Reconstr Surg

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“…8,9 The FIQL is the most widely used instrument in the international literature, validated in several different languages: French, Italian, German, Spanish, Norwegian, Turkish, Chinese, Japanese, English, and Portuguese, while the WS has only been validated in Portuguese and in Turkish. 8,[17][18][19][20][21][22][23][24][25] The FIQL evaluates the QoL of the FI patient without addressing the loss of gases, which differs from the WS. This fact is shown to be an advantageous aspect of the WS, since flatus incontinence is fairly common and is often the only manifestation of AI, which has an impact on the QoL, especially when associated with fecal loss.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Women with Defecatory Dysfunctions: Systematic Review of Questionnaires Validated in the Portuguese Language

Neto

Vasconcelos

Karbage³

et al. 2019

Rev Bras Ginecol Obstet

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Objective To identify the quality of life (QoL) assessment instruments related to the health of women with fecal incontinence (FI) or anal incontinence (AI). Data Sources Systematic review conducted in the Virtual Health Library (VHL), PubMed and Cochrane Library databases. The descriptors used were: Questionnaire, Questionnaires, Quality of life, validation, validation Studies, anal incontinence, fecal incontinence and constipation. The search was performed between December 26, 2017 and the beginning of January 2018. The limits used were female gender. Selection of Studies Initially, 5,143 articles were obtained in the search. The articles of validation for Portuguese of questionnaires for the evaluation of the impact of FI/AI on the QoL of women were considered eligible. Data Collection The article search was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA) guidelines. Data Synthesis Of the 5,143 articles, only 2 fulfilled the inclusion and exclusion criteria: Fecal Incontinence Quality of Life (FIQL) and the Wexner scale (WS). The FIQL evaluates the QoL related to FI, not covering flatus incontinence. The WS assesses flatus incontinence and the severity of the AI. The WS obtained an interclass correlation coefficient (ICC) of 0.932 and a Cronbach α coefficient > 0.90. The FIQL obtained intraexaminer and interexaminer reproducibility ranging from 0.929 to 0.957 and from 0.944 to 0.969, respectively. Conclusions The WS and the FIQL have satisfactory reliability and validity for use during gynecological consultations.

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Validation of the Wexner scale in women with fecal incontinence in a Turkish population

Cited by 16 publications

References 10 publications

Long-term effects of neoadjuvant chemoradiotherapy followed by sphincter-preserving resection on anal sphincter function in relation to quality of life among locally advanced rectal cancer patients: a cross-sectional analysis

Long-term effects of neoadjuvant chemoradiotherapy followed by sphincter-preserving resection on anal sphincter function in relation to quality of life among locally advanced rectal cancer patients: a cross-sectional analysis

Validation of the Fecal Incontinence Severity Index in a Turkish Population

Quality of Life in Women with Defecatory Dysfunctions: Systematic Review of Questionnaires Validated in the Portuguese Language

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